Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Christine Glidewell, ARNPSTUDENT

Individual provider Family Nurse Practitioner · NPI 1821444704

Kelly Christine Glidewell, ARNPSTUDENT is a Nurse Practitioner in Colville, Washington. Qualified in 2017, 9 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1200 E Columbia Ave
Colville, WA 99114-3354
Phone: (509) 684-3701
Fax: (509) 684-5817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60766260 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60766260 (WA)

Record details

NPI number1821444704
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNPSTUDENT
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Colville